CHILD HEALTH NURSING
Placement- SECOND YEAR
Time – 70 hour
Course Description:-
This course
is designed to help students
develop and understanding of the concept
of child health,
the trends in child care and the health problems of
children. This shall enable the students to meet the needs of the children, in health and sickness.
General
Objective:-
Upon
completion of this course, the students shall able to:
1. Explain the concept of child health, the principles
underlying child care trends in pediatric nursing.
2. Describe
normal growth and development of children, so as to recognize deviations for
normal health and care of healthy
children
3. Demonstration skill in meeting
the needs of the sick infants and children based
on the IMNCI guidelines of GoI
Unit - I .
Introduction
a) Modern concept in child health care
b) Trends in pediatric
nursing
c) Role of pediatric nurses in child care
d) Emerging challenges, nursing process related to pediatric
nursing
e) Concept of preventive
pediatric
f) Vital statistics related to pediatrics as
per the NRHS and GoI
Unit - II
Growth & Development
a) Definition, principles, factors
affecting growth & development, techniques of assessment, plotting of
growth chart
b) Infant:
Growth & Development, health
promotion, breast feeding &weaning, immunization, infant and young child
feeding
c) Toddler :
Growth & Development, nutrition
counselling, toilet training, safety, prevention of accidents, play.
d) Preschoolers
Growth & development Daycare
centers Role of Parents in sex education
e) School ager
Growth & development, rest,
sleep, physical exercises & activity, dental health, sex education
f) Adolescent
-
Growth
&development, adaptation to puberty, menstrual hygiene, nutritional
guidance, sex education,
-
Role
of Parents in health promotion of adolescents
-
Control of iron deficiency
anemia (WIFS guidelines)
Unit -III
The sick child
a) Child’s reaction to
hospital
b) Effect of hospitalization on the family of the child
c) Role of nurse in helping child & family in coping, with stress of
hospitalization & illness
Pediatric procedures:
a) Preparation of child for diagnostic
tests, collection of specimens.
b) Calculation & Administration of oral & parenteral medication
c) Procedures related to
feeding
-
Katori & Spoon
Ryle’s tube & gastrostomy
d) Procedures relating to elimination
-
Enema
-
Colostomy irrigation
e) Administration & analysis of oxygen concentration, steam
inhalation, nebulization,
f) Other procedures:
-
Pediatric Resuscitation
Surgical dressing
Unit IV
Disorders
and health problems of a child
a)
Infancy :
-
Failure to thrive
-
Diarrhea & Vomiting
b)
Childhood
-
Communicable
diseases
-
Tonsillitis
-
Otitis media
-
Child abuse
-
Breath holding spasms
-
Enuresis,
nail biting, thumb sucking, somnambulism
-
Protein Energy Malnutrition
-
Helminthic infections
-
Bites and stings
-
Pica
-
Tics
c)
Adolescent
-
Precocious puberty
-
Gynecomastia
-
Accident, sport injuries
-
Obesity &
anorexia nervosa
-
Juvenile delinquency
Unit V
Child with congenital disorders:
Etiology, signs and symptoms,
diagnosis, complications and medical, surgical & nursing management of
children with:
-
Malformations
of CNS, cranial deformities, spina bifida, hydrocephalus, cerebral palsy, meningocoele.
Skeletal defects, cleft lip & cleft palate
-
Gastro
intestinal tract defects, fistula, anorectal
malformations, hernia
-
Congenital
hypertrophied pyloric stenosis
-
Defects of
Genito-urinary Tract
–hypospadiasis & epispadiasis,
extrophy of bladder,
phimosis
& paraphimosis, cryptorchidism, polycystic kidney
-
Sexual
abnormalities, ambiguous genitalia
-
Defects
of cardio vascular system, cyanotic and acyanotic- TOF (Tetralogy of Fallouts),
TGV (Transposition of Great Vessels), TAPVC, ASD, VSD, Coactation of aorta, PDA
-
Orthopedic
abnormalities - congenital talipusequinovarus, congenital dislocation of hips
-
Chromosomal
abnormalities
-
Down’s syndrome, Turner’s syndrome.
Unit – VI
Children with various disorders and diseases
Etiology, signs and symptoms,
complications, prevention, medical, surgical &nursing management of :
a) Renal System
-
Nephrotic Syndrome
-
Acute Glomerulonephritis
-
ARF & CRF
b)
Resp. System
-
URI and LRI
-
Asthma, Pneumonia
c) GI System
-
Intestinal
obstruction (Mechanical)
-
Hirschsprung’s disease
-
Malabsorption Syndrome
-
Inflammatory conditions
-
appendicitis, Meckel’s divertculum, ulcerative
colitis.
-
Worm infestation.
d)
CVS System
-
Rheumatic fever
-
CCF
-
Infective
endocarditis
e)
Hematological System
-
Anemia
-
Leukemia,
-
Thalassemia
-
Hemophilia
-
Sickle cell anemia
-
Thrombocytopenic
purpura
f)
Neurological System
-
Meningitis
-
Encephalitis
-
Convulsive
disorders
-
Cranio-cerebral
trauma
g)
Endocrine
-
Pituitary disorders
-
Hypo & Hyperthyroidism
-
Juvenile Diabetes
-
Adrenal disorders
h)
Developmental problem
-
Handicapped children
-
Mental Retardation
-
Dyslexia
-
Hearing & Vision impairment
i)
Others:
-
Fluid and
electrolyte imbalance
-
Burns
j)
Problems with locomotion:
-
Poliomyelitis
-
Osteomyelitis
-
Kyphosis,
lordosis, scoliosis
-
Fractures
k)
Pre and post
operative care of children
undergoing surgery.
Unit VII
Child welfare services
a)
Child welfare services and agencies:
-
ICDS
-
Mid-day meal program
-
Balwadi,
anganwadi
-
Day care centers
-
NPSP
b)
Law
pertaining to Pediatrics:
-
National child
labour policy
-
Child act.
-
Juvenile justice act
-
Internationally
accepted rights of the child
-
Rehabilitation
of delinquent & destitute
children
-
Adoption laws and services
-
Adolescent health programs
– menstrual hygiene, WIFS
program, adolescent safety program
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